Provider Demographics
NPI:1821481565
Name:RAGAN, SHAWNA L (LPC)
Entity type:Individual
Prefix:
First Name:SHAWNA
Middle Name:L
Last Name:RAGAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:741 SESAME ST STE 1B
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-6657
Mailing Address - Country:US
Mailing Address - Phone:907-231-1243
Mailing Address - Fax:907-562-0551
Practice Address - Street 1:741 SESAME ST STE 1B
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-6657
Practice Address - Country:US
Practice Address - Phone:907-231-1243
Practice Address - Fax:907-562-0551
Is Sole Proprietor?:No
Enumeration Date:2015-03-05
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20023101YM0800X
AKPCOP893101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health